Nutrition Policy Institute policy advisor Christina Hecht presented virtually at the 2021 Child and Adult Care Food Program conference. Her talk on October 19 was titled “Testing: one, two and three! AB 2370 and you” on the California law–AB 2370–that requires licensed child care centers to test for lead at every tap used for drinking or cooking. Implementation of the law was delayed due to the COVID-19 pandemic. Hecht's talk informed attendees on how to prepare for future implementation of AB 2370 and also provided a question and answer session for child care providers to share their experiences. Hecht leads the National Drinking Water Alliance, which is coordinated by NPI.
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Nutrition Policy Institute policy advisor presents at the Child and Adult Care Food Program Roundtable conference on the law requiring tap water lead testing in California child care centers
The Nutrition Policy Institute welcomed Erin Esaryk to the team on August 9, 2021 as a research data analyst. Esaryk graduated in May 2020 from UC Berkeley with a master in public health. She also works at UC San Francisco with Sheri Weiser on projects related to food insecurity and health outcomes. Esaryk will work on NPI projects related to the federal Supplemental Nutrition Assistance Program-Education, food environments, nutrition education, and physical activity.
Nutrition Policy Institute researchers present at American Public Health Association annual meeting on increasing fresh local produce in prisons, nutrition text messages to SNAP participants, and delayed access to healthcare during COVID-19
Nutrition Policy Institute researcher Wendi Gosliner presents virtually at the 2021 American Public Health Association 2021 Annual Meeting and Expo October 24-27. Gosliner and NPI co-authors Ron Strochlic and Marisa Tsai present a virtual talk on October 26 titled 'Increasing fresh local produce in prisons: Promising practices to improve health, foster food justice, and support local food systems'. Gosliner presents an in-person talk with NPI co-authors Celeste Felix, Strochlic and Tsai on October 27 titled ‘Texting monthly nutrition messages to all Supplemental Nutrition Assistance Program participants in San Diego county, California: Promising pilot study results'. Gosliner is also co-author of a talk presented by Mekhala Hoskote of the UC Berkeley School of Public Health titled ‘“Hidden pandemic”: Delays in healthcare among low-income families in California during the COVID-19 pandemic' on October 22. The 2021 APHA meeting theme is 'Creating the Healthiest Nation: Strengthening Social Connectedness', and is a hybrid conference allowing attendees to participate online or in-person in Denver, Colorado.
Nutrition Policy Institute presentation at the NIH ‘State of the Science’ workshop on Food Insecurity, Neighborhood Food Environment, and Nutrition Health Disparities is now available online
Nutrition plays an important role in promoting health and preventing disease, but where people live or how much money they earn can affect their ability to access or afford healthy food. Understanding the role socio-economic conditions play can help inform prevention efforts. Nutrition Policy Institute director and Cooperative Extension specialist, Lorrene Ritchie, presented at a three-day virtual National Institutes of Health workshop, “Food Insecurity, Neighborhood Food Environment, and Nutrition Health Disparities: State of the Science”. Her talk, “Food Insecurity Across the Lifespan,” provided an overview of current evidence related to racial/ethnic and socioeconomic disparities of food insecurity over the life course. All talks are free and available on-demand for online viewing.
Nutrition Policy Institute’s Wendi Gosliner featured in Western Farm Press article on text messages to CalFresh participants on healthy produce
Nutrition Policy Institute senior researcher and policy advisor, Wendi Gosliner, was featured in an article in Western FarmPress about a pilot program for San Diego County CalFresh participants to receive monthly text messages about the benefits of California-grown fruits and vegetables. Gosliner worked to evaluate the pilot program in collaboration with the UC San Diego Center for Community Health and the County of San Diego Health and Human Services Agency. Gosliner is quoted as, “In a text, you have very few characters you're communicating with people, so we wanted to make sure we were using cutting-edge behavioral science to construct those messages to have the most impact." A majority of the program recipients who received messages from September 2020 to March 2021 responded to a survey saying they appreciated receiving the text messages. Gosliner reports, “What we see is that there's definitely a decent-sized population of people participating in CalFresh – now this is just in San Diego County but imagine the entire state – who would benefit from having this kind of information available to them, and there is at least a subset of people who really liked it."
University of California student Anna Rios has been selected as Global Food Initiative fellow for the UC Agriculture and Natural Resources Nutrition Policy Institute during the 2021-22 school year. Rios is a senior in molecular and cell biology at UC Berkeley. Rios is originally from the small rural town of Williams, about two hours north of the Bay Area. In her home community, she noticed the prevalence of packaged and processed foods, along with health burdens present. Coming into college, Rios had no interest in research, but this slowly shifted as she gained more exposure to research through her involvement with Lorrene Ritchie, director of the Nutrition Policy Institute. In this upcoming year, she will work on two GFI projects which focus on improving nutrition in infants and school-aged children through nutritious school meals. The Global Food Initiative was founded in 2014 under then UC President Janet Napolitano with the goal of conquering the question of how to sustainably and nutritiously feed a world population that is expected to reach 8 billion by 2025. Fellows across the 10 UC campuses and Agriculture and Natural Resources work on projects or internships that focus on food issues. Participants receive professional development, tours of food and agriculture sites throughout California, and a $3,000 annual stipend to support their educational experience.
More than 1.8 million Californians are still behind on rent payments despite progress protecting California renters from eviction during the pandemic
Despite progress on protecting California renters from eviction during the COVID-19 pandemic, more than 1.8 million Californians are still behind on rent payments. New findings from University of California researchers suggest more outreach on California's emergency rental assistance (ERA) program is needed. Wendi Gosliner, of the University of California, Division of Agriculture and Natural Resources, Nutrition Policy Institute, partnered with researchers at UC Berkeley and the UCSF Benioff Homelessness and Housing Initiative to collect survey data on 502 low-income parents of young children residing in California. Survey results found that 22 percent of respondents who were renters deferred rent payments since March 2020, when the pandemic first began to trigger large-scale shutdowns and economic dislocation in the United States. Only 7 percent of survey respondents had received ERA relief payments during the time of interviews. Statewide, many low-income renters remain at a heightened risk of dislocation and potential homelessness when California's eviction moratorium expires on September 30. Survey findings are compiled in a research brief, which includes recommendations for how public and nonprofit entities in California can improve ERA uptake among low-income renters. The survey, part of the Assessing California Communities' Experiences with Safety net Supports (ACCESS), was funded by the Robert Wood Johnson Foundation with supplemental funding from the UCSF Center for Vulnerable Populations and Tipping Point.
Nutrition Policy Institute partners with UC researchers to identify promising practices to support the health of California agriculture workers
Nutrition Policy Institute researcher, Ron Strochlic, received funding to partner with researchers from the University of California (UC) to identify promising practices to support the health of California agriculture workers. Strochlic, a longtime researcher of California agriculture worker health issues and former executive director of the California Institute for Rural Studies, will be conducting interviews with growers and farm labor contractors, as well as stakeholders representing different sectors–farm labor advocates, farmworker-serving nonprofits, grower organizations and health care providers–on agricultural worker health. The goal of the interviews is to identify promising practices for increasing access to and utilization of health care services among agricultural workers and their family members, as well as access to wellness services, including nutrition and physical activity. Strochlic will be working with Christy Getz, UC Berkeley Cooperative Extension Specialist in Agriculture and Food Systems, to interview stakeholders. The interviews are part of a larger project, known as the Farmworker Health Study, led by the UC Merced Community and Labor Center. Findings will be shared with the California Department of Public Health with recommendations for improving farmworker health. The two-year project, funded by UC Merced, started in March 2020. Additional project collaborators include Paul Brown, Ed Flores, and Anna Padilla of UC Merced, and Brenda Eskenazi of UC Berkeley.
New NPI report details methods used by California Local Health Departments for documenting SNAP-Ed–CalFresh Healthy Living–interventions
The USDA's Supplemental Nutrition Assistance Program-Education (SNAP-Ed) is an evidence-based program that helps low-income individuals live healthier lives through education, social marketing, and policy, systems, and environmental (PSE) changes. Known as CalFresh Healthy Living (CFHL) in California, SNAP-Ed is overseen by the California Department of Social Services and implemented by four state implementing agencies and the local implementing agencies (LIAs) that they fund. The California Department of Public Health (CDPH) is one of four state implementing agencies and funds 60 local health departments. Beginning in 2018, California's LIAs use the Program Evaluation and Reporting System (PEARS) to report their CFHL activities and interventions. The Nutrition Policy Institute serves as CDPH's evaluation contractor for its CFHL program; NPI's PEARS team, Carolyn Rider, Janice Kao, Evan Talmage, and Christina Becker, provide technical and evaluation assistance to CDPH and its LIAs for PEARS reporting. They authored a new report which presents the background, definitions, and methods used by CDPH and its funded local health departments for reporting CFHL interventions implemented throughout California during Federal Fiscal Year 2020. The report, titled “Background on Local Health Department Reporting of CalFresh Healthy Living Programs in the Program Evaluation and Reporting System, FFY 2020”, also details challenges in reporting CFHL activities and gives recommendations to improve reporting.
NPI’s Lorrene Ritchie quoted in The Washington Post article on increase in childhood obesity rates during the COVID-19 pandemic
Childhood obesity rates increased during the global COVID-19 pandemic according to a study published in August in the Journal of the American Medical Association. Results of the study, which included electronic medical record data of 200,000 children ages 5 to 17 in Kaiser Permanente Southern California, were featured in an August 31, 2021 article in The Washington Post. Nutrition Policy Institute director and cooperative extension specialist Lorrene Ritchie was quoted in the article, “before the coronavirus, studies showed that students tended to gain weight during the summer when away from school. They tend to gain weight at an accelerated rate, then during the school year their body mass index goes down, but not as much, so over time kids are getting more and more overweight and obese.” Ritchie also stated that “regular summer weight gain among students is attributed to missing recess, P.E. and school sports, as well as not getting exercise associated with traveling to and from school. It is also because studies show that school meals are, on average, healthier than what children bring from home. Also, kids in school have access to breakfast and lunch; at home during the summer there is frequently unfettered access to food all day long.” Ritchie was further quoted that “companies selling junk food have had more access during the pandemic to market directly to children who spent more time on screens. What this has taught us is that our food environment is way out of line with what we need. Food companies are geared to getting us to eat as many calories as possible. And we are geared toward eating when food is available.”
Study by Stanford and NPI researchers describes barriers and best-practices for school districts offering meals during the COVID-19 pandemic despite school closures
Meals provided to children at schools–funded by the USDA–help mitigate childhood food insecurity. Despite COVID-19 related school closures beginning March 2020, school districts across California continued to offer meals to children and families. In a recent community-based participatory research study published in the journal Public Health Nutrition, researchers at Stanford and the University of California (UC) Nutrition Policy Institute (NPI) describe challenges and best practices in providing and accessing school meals during COVID-19. Researchers interviewed food service directors, school superintendents, and community partners, and conducted parent focus groups in English and Spanish, in six school districts in California's San Joaquin Valley–a region of predominantly low-income, Latino immigrant families. For schools, the leading barriers were developing safe meal distribution systems, boosting low participation, covering COVID-19 related costs and staying informed on policy changes. Families named transportation difficulties, safety concerns and lack of fresh food as major barriers to taking school foods. Researchers also identified pandemic-electronic benefit transfer (P-EBT), bus-stop meal deliveries, community meal pick-up locations, batched meal service and leveraging partner resources as innovative strategies for continuity in offering meals despite school closures. The study was conducted in partnership with two non-profit community organizations–Cultiva La Salud and Dolores Huerta Foundation–that work towards health equity and social justice in the San Joaquin Valley. The paper's authors were Ashley Jowell, Janine Bruce, Gabriela Escobar, Valeria Ordonez and Anisha Patel of the Stanford University School of Medicine and Christina Hecht of NPI. The study was funded by the Stanford Center of Excellence in Diversity in Medical Education and Office of Faculty Development and Diversity, Stanford Medical Scholars Research Program, the American Heart Association Voices for Healthy Kids, and the San Joaquin Valley Health Fund.
New report details the development and implementation of a first-of-its-kind campus-wide nutrition policy at UC Berkeley
In the United States, over 25 million people work and learn at colleges and universities, consuming an untold number of meals, snacks, and beverages while on campus. Unlike in K-12 schools, higher education institutions are not governed by federal policies to ensure that foods and beverages sold on campus meet minimum nutrition standards. While many universities participate in voluntary campus wellness initiatives, only one university–the University of California (UC), Berkeley–has officially adopted a comprehensive, campus-wide nutrition policy, the Food and Beverage Choices (FBC) Policy. Researchers at the UC Nutrition Policy Institute and UC Berkeley collaborated with the FBC policy implementation team to publish a case report in the Journal of Nutrition Education and Behavior, presenting detailed information on the development, establishment, implementation and evaluation of the FBC policy. The report includes discussion of the challenges and barriers encountered during policy implementation and offers valuable insight for other universities seeking to develop and implement their own nutrition policies. The report was developed by Zachary Rickrode-Fernandez of Center for Environmental Health and UC Berkeley, Janice Kao of the UC Nutrition Policy Institute, and Mary Lesser and Kim Guess of UC Berkeley.
The Lead and Copper Rule (LCR)–a U.S. federal regulation under the administration of the Environmental Protection Agency (EPA)–limits the concentration of lead and copper allowed in utility-provided tap water. The LCR provides requirements for various actions to monitor and reduce lead and copper content of tap water and to inform the public. The EPA recently undertook the first revision of the LCR in 30 years with the Trump administration publishing final revisions on January 15, 2021. However, on January 20, 2021, the Biden administration issued a Regulatory Freeze Pending Review memorandum to ensure any new or pending rules be reviewed by the new presidential appointees or designees and be re-opened for public comment. The EPA posted an extension of the effective date of the revised LCR on April 14 to enable the agency to seek further public input, particularly from communities most at-risk of exposure to lead in drinking water. Nutrition Policy Institute's (NPI) Christina Hecht and Angie Cradock of the Harvard TH Chan School of Public Health submitted one of the over 20,000 public comments providing recommendations for the final revision of the LCR. Hecht and Cradock's comment focused on school drinking water safety, providing recommendations based on their findings from a comprehensive study of states' school drinking water lead testing initiatives and lead test results. Their recommendations included: testing all taps used for human consumption in school and childcare facilities, rather than the subset–5 taps in schools, 2 in child care–required by the earlier proposed revision; a faster timeline for initial testing of all taps; and a lower action level for lead in tap water.
Since the Flint Water Crisis—the 2014 watershed moment for public health and drinking water safety in Flint, Michigan—public concern over drinking water safety, especially for children, has only grown. The National Drinking Water Alliance (NDWA) maintains an interactive map that provides a database of news stories on tap water exceedances of regulated contaminants since 2015. A recent update adds over 235 new map points with links to documenting news articles, with nearly half of the incidents emerging since 2019. The map also includes information on state policies and programs to test for lead in school drinking water. Almost one-third of US states have enacted legislation providing policy to test for lead in drinking water in schools and, in some cases, in child care centers. Policies for mandatory testing have recently passed in Oregon and Vermont. New legislative proposals are underway in Wisconsin, Iowa, Nebraska, and Connecticut. Voluntary programs are now present in every state, funded by nationwide federal grants supporting testing in child care facilities and schools. More information on each state's actions can be found on the interactive map, which was updated by Nutrition Policy Institute intern, Laurel Denyer, a recent University of California, Davis graduate. The NDWA is coordinated by Christina Hecht of the Nutrition Policy Institute. For more information, and to propose additions to the map, please contact the NDWA at DWAalliance@ucanr.edu.
New University of California and Stanford study reveals lack in California school district wellness policies
University of California researchers from multiple locations–Berkeley, Irvine, San Francisco, and the Nutrition Policy Institute (NPI)–collaborated with researchers at Stanford University to investigate language concerning drinking water in school district wellness policies in a random sample of 240 California public schools. The U.S. Healthy, Hunger-Free Kids Act of 2010 requires potable water to be made available at no charge to students in school cafeterias, and also requires school wellness policies that support nutrition standards. Because the strength and comprehensiveness of wellness policy are shown to be key to policy implementation, the research team aimed to learn what type of language was in use and whether that language related to actual school drinking water provision. Researchers found that the strength–scored on a scale of zero to 100–of water language in school wellness policies scored low, 11, while comprehensiveness scored 29. The findings, published online in the Journal of Nutrition Education and Behavior, present scores for about two dozen descriptors of water access. School wellness policy language scored highest for descriptors with an associated codified law–for example, the mandate for water access in the cafeteria–and lowest for descriptors of staff and student behaviors that foster water consumption–for example, allowing students to carry refillable water bottles, or requiring staff to drink healthy beverages when in front of students. Researchers found the strength and comprehensiveness of wellness policy water language to be negatively associated with actual school drinking water practices. However, this analysis was limited by the narrow range of the strength and comprehensiveness scores, making it hard to draw conclusions about this association. Steps to improve the usefulness of drinking water school wellness policies moving forward include stronger language concerning drinking water in model policy, such as the California School Boards Association model wellness policy language–used by 86% of study schools–and other supports for wellness policy implementation, including identifying a school “champion,” which was shown to be effective in a previous study conducted by researchers at NPI and Stanford. The school wellness policy study was conducted by Priyanka Sharma of UC Irvine, Gala Moreno and Anisha Patel of Stanford University and UC San Francisco, Emily Altman of UC Berkeley, Karla Hampton, JD, and Christina Hecht of NPI. The study was funded by a grant from Robert Wood Johnson Foundation Healthy Eating Research.
Jul 12, 2021
The University of California, Division of Agriculture and Natural Resources (UC ANR) Nutrition Policy Institute (NPI) welcomed Celeste Felix to the team on July 11, 2021 as a Project Policy Analyst. Celeste recently graduated from UC Berkeley with an MPH in Nutrition. She started with NPI as a summer intern in 2020. Through her experience, she developed valuable skills and deepened her passion for reducing health disparities and food insecurity in overlooked communities. In her new role, Celeste will work on several projects to improve the nutrition of children through changes in food retail, school, and childcare settings.
New NPI study suggests online training for child care providers improves knowledge and awareness of California's Healthy Beverages in Child Care policy
California's 2010 Healthy Beverages in Child Care Act (AB2084) specifies that only unflavored low-fat milk or nonfat milk be served to children aged 2 years or older, allows no more than 1 daily serving of 100% juice, prohibits beverages with added sweeteners, and requires that safe drinking water be readily accessible throughout the day in all licensed California (CA) child care centers and family child care homes. A state-wide survey of CA child care providers conducted in 2016 by the University of California, Nutrition Policy Institute (NPI) suggested that less than half (45%) of providers fully adhered to the beverage policy. Researchers at NPI partnered with the UCSF School of Nursing, California Childcare Health Program and UC Division of Agriculture and Natural Resources (UC ANR) Cooperative Extension (CE), with support from a UC ANR grant, to develop a brief online training in English and Spanish for providers to increase adherence with the policy. Researchers evaluated the online training, 'Healthy Beverages in Early Care and Education', combined with six months of ongoing technical assistance from CE nutrition educators. The study enrolled 65 licensed child care providers in California. Results suggest that the online training can improve providers' awareness of the policy and knowledge of healthy beverage practices; however, it may not improve providers' adherence to the policy. Further, it suggests that additional technical assistance from CE nutrition educators beyond 6-months may be required to further increase awareness, knowledge, and policy adherence. Results from the study were published in the Journal of Nutrition Education and Behavior on June 1, 2021. The study was conducted by NPI researchers Danielle Lee, Kaela Plank, Hannah Thompson, Christina Hecht and Lorrene Ritchie in collaboration with Marisa Neelon from UC ANR, Karina Díaz Rios from UC Merced, and Abbey Alkon from the UCSF School of Nursing. The training is available online for free in English and Spanish for California child care providers, and for $15 for providers located outside of California.
NPI researchers present on WIC participant experiences during COVID-19 at the National WIC Association annual meeting
The federal Special Supplemental Nutrition Program for Women, Infants and Children (WIC) provides supplemental foods, health care referrals, nutrition education, and breastfeeding support to low-income women, infants and children up to age five who are at nutritional risk. The COVID-19 pandemic brought unexpected and unprecedented changes to WIC service delivery in order to protect the health and well-being of staff and participants. Researchers at the Nutrition Policy Institute (NPI) presented two talks at the National WIC Association 2021 virtual annual conference, held online June 15-17, 2021. The first shared results of quantitative and qualitative data collected during the pandemic from WIC participants and WIC local agency directors in California. Results from this study highlight the significant success of the California WIC program in reaching participants and meeting their needs during the COVID crisis and suggest multiple strategies useful for continued program improvements throughout the nation. The second talk shared results from a survey of nearly 50,000 WIC participants in 11 states and 1 Indian Tribal Organization. Researchers shared WIC participant perspectives of what worked well and what was challenging about enrollment, nutrition education, shopping for WIC foods, and use of the WIC card and app(s). The survey also collected suggestions from participants on how they would like to receive WIC services once when it is safe to return in-person to WIC clinics, and how their physical, mental and financial well-being and food insecurity changed during the pandemic. Researchers involved in the studies included NPI's Lorrene Ritchie and Danielle Lee, Georgia Machell of the National WIC Association, private consultant Linnea Sallack, and Shannon Whaley of the Public Health Foundation Enterprises-WIC. The projects were funded by grants from the David and Lucille Packard Foundation; the California study was also funded by the California Department of Public Health.
California WIC participants and agency directors agree that COVID flexibilities be retained as program options going forward
Rich with quotes from California WIC participants and local agency directors, two new reports and a policy brief highlight the strong consensus that the waivers USDA put in place and the other modifications the state implemented to make WIC responsive to COVID should be incorporated as permanent options in the program. In light of Congress's imminent program reauthorization, these recommendations informed by research conducted by Public Health Foundation Enterprises (PHFE)-WIC and the Nutrition Policy Institute (NPI), part of the University of California's Division of Agriculture and Natural Resources (UC ANR), take on special significance. Researchers collected information on the experiences with WIC during COVID from interviews with 182 WIC participants, 22 interviews with local WIC agency directors and refinement of interpretation from a meeting with 12 WIC agency directors, and finally, recommendations from multiple perspectives shared at a convening of over 20 local, state, and national WIC participants, experts and leaders. The research team included Lorrene Ritchie, Christina Hecht, Nicole Vital, Ron Strochlic, Marisa Tsai, Claudia Olague, Anna Rios, and Ken Hecht from NPI, Lauren Au from UC Davis Department of Nutrition, and Christopher Anderson, Catherine Martinez, Martha Meza and Shannon Whaley from PHFE-WIC. The project was funded by a grant from the David and Lucile Packard Foundation with additional funding from the California Department of Public Health WIC Branch.
NPI researchers present on critical role of WIC during COVID-19 pandemic at the American Society for Nutrition's annual conference, Nutrition 2021
The federal Special Supplemental Nutrition Program for Women, Infants and Children (WIC) provides supplemental foods, health care referrals, nutrition education, and breastfeeding support for low-income women, infants and children up to age five who are at nutritional risk. The COVID-19 pandemic brought unexpected and unprecedented changes to WIC service delivery in order to protect the health and well-being of participants and staff. Nutrition Policy Institute (NPI) researchers shared experiences of California WIC families during the COVID-19 pandemic at the American Society for Nutrition's annual conference, Nutrition 2021 Live Online, held virtually June 7-10, 2021. The presentation, titled "WIC is critical during the COVID-19 pandemic: Lessons learned from Los Angeles County participants", shared results of data collected from WIC participants and local WIC agency directors in California. Results highlight the significant success of the California WIC program in reaching participants and meeting their needs during the COVID crisis and suggest multiple strategies useful for continued program improvements throughout the nation. NPI's Lorrene Ritchie, Nicole Vital, and Marisa Tsai, presented at the conference in collaboration with Lauren Au of the University of California (UC), Davis Department of Nutrition, and Shannon Whaley, Chris Anderson, Martha Meza, and Catherine Martinez of Public Health Foundation Enterprises, WIC. The project was funded by a grant from the David and Lucille Packard Foundation.
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